Healthcare Provider Details

I. General information

NPI: 1780310177
Provider Name (Legal Business Name): KRISTEN OLIVA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/27/2022
Last Update Date: 05/16/2026
Certification Date: 05/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

770 W HAMPDEN AVE STE 201
ENGLEWOOD CO
80110-2130
US

IV. Provider business mailing address

770 W HAMPDEN AVE STE 201
ENGLEWOOD CO
80110-2130
US

V. Phone/Fax

Practice location:
  • Phone: 303-910-0800
  • Fax:
Mailing address:
  • Phone: 303-910-0800
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLPCC.0024681
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: